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OLYMPIC DENTISTRY, PLC
NPI 1104036755
Clinic/Center - Dental in Waterloo, IA

Active since May 23, 2007
208 OLYMPIC DR, WATERLOO, IA 50701(319) 234-3233(319) 234-3879 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Olympic Dentistry, Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLYMPIC DENTISTRY, PLC (NPI 1104036755) is a healthcare organization registered as a dental in Waterloo, Iowa and active in the NPI registry since May 2007. The organization lists Brent Eugene Ludens, Owner, as its authorized official.

NPPES Registry Identity

NPI1104036755
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameOLYMPIC DENTISTRY, PLC
Location Address208 OLYMPIC DRWaterloo, IA 50701-5240
Mailing Address208 Olympic DriveWaterloo, IA 50701-5240 · (319) 234-3233 · Fax (319) 234-3879
Phone(319) 234-3233
Fax(319) 234-3879
Organization SubpartNo
Authorized OfficialBrent Eugene LudensOwner · (319) 234-3233
Enumeration DateMay 23, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104036755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in IA · 07466
208 OLYMPIC DR, Waterloo, IA 50701
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olympic Dentistry, Plc's NPI number?

The NPI number for Olympic Dentistry, Plc is 1104036755. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is Olympic Dentistry, Plc located?

Olympic Dentistry, Plc is located at 208 Olympic Dr, Waterloo, IA 50701. The listed phone number is (319) 234-3233.

What is Olympic Dentistry, Plc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Olympic Dentistry, Plc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.